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The Tobacco Retailers Alliance responded by writing to HMRC and the Department of Health to warn that through no fault of their own, independent shops will unknowingly become complicit in the illicit tobacco trade and face possible prosecution. Department of Health spokesperson Kathy ORourke responded: HMRC is monitoring the situation to identify whether standardised packaging has changed the circumstances of the fraud, and if a different operational response is needed. However, TRA spokesperson Suleman Khonat said the response shows that the DoH is entirely unwilling to face up to its responsibilities and passing the buck to anyone it can. He added: This is classic example of a policy pushed by the health lobby with little regard for retailers

Furthermore, tackling climate change has been described as the greatest global health opportunity of the 21st century, and many of the mitigation and adaptation measures for climate change may also benefit population health (59)

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Autoimmune testing, Quantiferon testing as well as sputum staining for acid-fast bacilli were negative